Jeffry M Smith D C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2236 Issued in GA

Legal business name

JEFFRY M SMITH D C

Practice address

4109 Altama Ave
Brunswick, GA 31520-3636

Phone

(912) 264-2424

Fax

(912) 264-2911

NPI assigned

Jan 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffry Michael Smith, D.C.NPI 1144382169

Title

Owner/President

Phone

(912) 264-2424

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coastal Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffry Michael Smith, D.C.

  • Chiropractor
  • Brunswick, GA
  • NPI 1144382169
  Medicare reassignment NPD Authorized official
• Howard A Berg, DC

  • Chiropractor
  • St Simons Island, GA
  • NPI 1093900367
  NPD (past)
• John Joseph Crowley, D. C.

  • Chiropractor
  • Brunswick, GA
  • NPI 1245455088
  NPD (past)
• Lonnie Gale Katro, D.C.

  • Chiropractor
  • Gastonia, NC
  • NPI 1023191129
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1720263288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 ALTAMA AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203636",
            "telephone_number": "912-264-2424",
            "fax_number": "912-264-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 ALTAMA AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315203636",
            "telephone_number": "912-264-2424",
            "fax_number": "912-264-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFRY M SMITH D C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "912-264-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "2236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP1151",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Jacobs
• James W Greene MD LLC
• Timothy A Jamieson, MD
• Karen Jarocki
• Jebediah S Christy DDS - Brunswick PLLC
• Bethany Jade Jennings, OTR
• Jake C Jensen, PT, DPT
• Jeremiah Tree CCS
• Jessica Poe P.C.
• Jet'S Pharmacy II, LLC.

• All providers in Brunswick, GA
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.